Authentic Connection Psychological Services, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

AUTHENTIC CONNECTION PSYCHOLOGICAL SERVICES, LLC

Practice address

2040 Raybrook St SE Ste 201-B
Grand Rapids, MI 49546-7739

Phone

(616) 320-4689

NPI assigned

Jun 15, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lindsey Sherd, PHDNPI 1447788062

Title

Clinical Psychologist

Phone

(616) 970-1407

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Sherd, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1447788062

  Counseling

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1790469096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 201-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467739",
            "telephone_number": "616-320-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 201-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467739",
            "telephone_number": "616-320-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC CONNECTION PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SHERD",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-970-1407",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Austin, DPT
• Sharya Itiana Austin
• Taylor Nicole Austin
• Wendy Austin
• Authentic Connection Psychological Services, LLC
• Authenticity Recovery LLC
• Matthew Patrick Avers, PA
• Emily Averton
• Amanda Lynn Avery
• Kyle Brandon Avery

• Counseling Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.